Focused Single-Location Scope
Source price range: $4,000 - $6,000 / month
Scenario: A genuine primary surgical center with a manageable surgeon roster, a functioning site, and enough internal access to clinical, financial, and operational reviewers.
Possible recurring inclusions:
- Local search maintenance for the real surgical center and the patient-facing location information attached to it.
- Technical monitoring for crawlability, indexation, rendering, internal links, mobile usability, and Core Web Vitals, with implementation ownership stated separately.
- A source capacity assumption of 2 medically reviewed patient or procedure resources, treated as workload capacity rather than a required publishing cadence.
- Google Business Profile fact maintenance and an ethical review-request process that asks eligible patients consistently for honest feedback without incentives, discouraging negative feedback, or selecting only satisfied patients.
- Consultation-path analysis where the tracking design has appropriate privacy and security oversight.
Common exclusions: Major redesign, custom application work, paid media, extensive video production, legal opinions, and clinic-side surgeon review time unless the agreement explicitly includes them.
Measurement: Track corrected defects, relevant query coverage, location accuracy, search visibility, and qualified consultation inquiries with attribution limits.
Uncertainty: The range does not predict how legacy code, surgeon availability, local competition, or slow implementation will affect effort.
Regional Multi-Location Scope
Source price range: $7,000 - $12,000 / month
Scenario: A refractive group with multiple genuine locations, a larger surgeon roster, and enough search demand to require coordinated technical, content, local, and measurement work.
Possible recurring inclusions:
- Technical governance for shared templates, provider pages, redirects, internal linking, migrations, and location architecture.
- A source capacity assumption of 4 to 6 long-form resources per month, reduced whenever qualified review, source quality, or patient usefulness would otherwise be compromised.
- Editorial PR and outreach for relevant medical, local, professional, or patient-resource publications without promised link volume or guaranteed ranking effects.
- Structured data maintenance only for surgeon, practice, service, and location facts supported by the visible page and approved records.
- Patient-journey measurement and CRM integration when the data design is appropriate for the practice's privacy, security, and operational requirements.
Practice footprint: The source scenario refers to groups with 3 to 7 locations, but location count alone does not determine cost. Template duplication, provider turnover, service differences, review capacity, and developer availability can matter more.
Common exclusions: Large migrations, call-center operations, custom attribution engineering, extensive video production, paid placements, and internal clinical-review labor unless named in the scope.
Measurement: Report by genuine location, page type, and query intent where the data supports that level of detail, without claiming that a single SEO change caused every inquiry.
Large Network Scope
Source price range: $15,000+ / month
Scenario: A large refractive organization with many locations, surgeons, templates, markets, or CMS dependencies that require coordinated governance across search, content, engineering, analytics, and practice operations.
Possible recurring inclusions:
- Portfolio-level technical and local search management with explicit ownership for location openings, closures, redirects, surgeon changes, and template updates.
- Custom data-supported content or interactive tools only when the underlying evidence and patient use case can be maintained responsibly.
- National editorial outreach and expert commentary when surgeons or practice representatives can provide accurate, approved input.
- Dedicated technical SEO support for complex CMS and publishing environments.
- Strategic market analysis that separates opportunity sizing from any promise of search dominance or patient acquisition.
Common exclusions: Enterprise replatforming, patient-portal work, media spend, legal opinions, original clinical research, and non-search brand campaigns unless separately contracted.
Measurement: Use consistent definitions across markets and separate deployment, visibility, qualified inquiries, consultations, and downstream commercial contribution.
Uncertainty: The source attaches a 12-month minimum commitment to this scenario, but that period is a commercial planning assumption rather than a guaranteed time to network-wide impact.